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Dr. Abhishek Kumar Singh

MBBS, M.S. (General Surgery) & M. Ch (Urology)

Dr. Abhishek Kumar Singh is a General Surgeon, proctologist, Laparoscopic Surgeon, Urologist, and a Laser Specialist in Gomti Nagar, Lucknow and has an experience of above 10-12 years in this field. Dr. Abhishek Kumar Singh practices as a visiting and on call surgeon in Krishna Medical Centre, Hazratganj Lucknow. He completed MBBS from King Georges Medical College, Lucknow University in 2009 and MS - General Surgery from King Georges Medical College, Lucknow University in 2015 and holds an additional qualification of M. Ch in Urology from Gujrat University in 2022

Dr. Abhishek Kumar Singh

Surgeries provided by the doctor are:

Urinary Stone

Urinary stones also known as kidney stones are solid masses made of crystals and usually originated from kidneys. These stones cause unbearable pain and discomfort when they move in the urinary tract. Kidney stones vary in size. There are different kinds of kidney stones depending upon their composition. It is one of the most painful medical conditions.

There are different stone removal procedures. The smaller stones can be easily disposed of while urination however, larger stones require surgery as they get stuck in the urinary tract.

One of the procedures used for treating kidney stone problems in the minimally invasive way is Laser Urinary Stone Surgery. This surgery involves the placing of a ureteroscope under the effect of anaesthesia into the urethra and urinary bladder. This instrument helps in the easy identification of stones in the kidney and ureter

CAUSES

There aren’t any definite or single cause for the occurrence of urinary stones. Some of the factors causing urinary stones are :

SYMPTOMS

Kidney stones don’t show any symptoms until they lack movements in the kidney or passes into the ureters. They block the flow of urine from the ureter and cause the swelling of the kidneys, which is very painful. Some of the common signs and symptoms experienced during urinary stones are:

PROCEDURE

Preparation of surgery

During the surgery

Post-operative surgery

The person who has developed urinary stones in their life are likely to develop them again. To prevent this, it is advisable to make required changes in lifestyle and diet.

Prostate Enlargement

Prostate enlargement, also known as benign prostatic hyperplasia (BPH), is a common urological condition among older men. It occurs when the prostate gland, which surrounds the urethra, grows and puts pressure on the bladder and urethra. This can lead to various urinary symptoms, such as frequent urination, difficulty starting or stopping urination, weak urine flow, and a feeling of incomplete bladder emptying.

While an enlarged prostate is not a life-threatening condition, it can significantly impact a person’s quality of life. In BPH, surgical intervention is necessary, however, medications and home remedies can relieve pain and discomfort associated with the enlarged prostate.

Renal Cell Cancer (RCC)

Kidney Cancer or Renal Cell Cancer is a disease in which the healthy cells in one or both kidneys become cancerous and grows out of control later forms a tumor. Almost all kidney cancers begin in the lining of tubules (tiny tubes) in the kidney. Renal tubules purify the blood and make urine. If the cancer is found earlier or before it spread to distant organs, it is easier to treat the cancer successfully, but the cancer may spreads to other organs like bones, lungs or brain.

Prostate Carcinoma

Prostate cancer is the type of cancer that affects the prostate. The prostate is a small nut-shaped gland in males that produces the seminal fluid that feeds and carries the semen.

Prostate cancer is one of the more prevalent types of cancer. Many prostate cancers develop slowly and limit themselves to the prostate gland, where they may not cause severe damage. However, in some cases, prostate cancer becomes aggressive and spreads quickly to other neighboring body parts.

Prostate cancer in its initial stages, confined to the prostate gland, and the patient has the best chance of success with minimal treatment and complications.

Types of cancer that may occur in the prostate are

If you experience any of the following symptoms, Please does consult your urologist immediately.

If you are having one or more of these symptoms, don’t conclude on your own that you have cancer. However, don’t take these symptoms lightly as well. Meet the urologist and follow his advice with respect to further investigations.

Female Urology

Urology focuses on conditions related to the urinary tract system, including the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs that include the penis, testes, scrotum, prostate, etc.

There are some urological conditions that are more common in women than in men, such as urinary incontinence and urinary tract infection. This is where female urology comes into play. Female urology concentrates solely on the diagnosis and treatment of urologic conditions that are most prevalent in females. The urologists that deal specifically with the urological problems in females are known as urogynecologists.

How Do You Know It’s Time To Visit A Female Urologist?

There are certain signs and symptoms that hint towards a building urological condition that may pose a threat to your health. These include,

If you are experiencing any of these symptoms, it is advised that you immediately visit a urologist as it is extremely common in females to develop frequent urologic conditions.

Types of Urologic Conditions Seen In Women

Other urological conditions that are fairly common in women include painful bladder syndrome, hydronephrosis, chronic kidney disease, and several urologic cancers.

Urinary Blood Cancer

Bladder cancer is a type of cancer that develops in the cells of the bladder, which is the organ responsible for storing urine. It is essential to have a comprehensive understanding of bladder cancer, including its causes, risk factors, diagnosis, and treatment options.

Early detection plays a crucial role in the successful treatment of bladder cancer. The following signs and symptoms may indicate the presence of bladder cancer:

If bladder cancer is suspected, a healthcare professional will perform various diagnostic tests, including:

Treatment options for bladder cancer depend on several factors, including the stage and grade of the cancer. They may include:

Male Infertility

Erectile Dysfunction

Percutaneous Nephrolithotomy (PCNL)

Percutaneous nephrolithotomy or PCNL is a minimally invasive inpatient procedure performed under general anesthesia to remove kidney stones. Generally, these stones are large and complex. For the PCNL procedure, a small incision is made in the flank (side of the back), underneath the rib cage. Through that incision, the urologist uses scopes to go directly into the kidney, locate the kidney stone, and then break it up using an energy device such as a laser or ultrasound.

Usually, a temporary device (ureteral stent or nephrostomy tube) for urinary drainage is needed after a PCNL. A stent in internal and goes from the kidney to the bladder while a nephrostomy tube directly drains urine from the kidney to an external bag

Ureteroscopy (URS)

Ureteroscopy (URS) is a preferred method for the treatment of small- to medium-sized kidney stones located in any part of the urinary tract.

The procedure

Some ureteroscopes are flexible like a thin, long straw. Others are more rigid and firm.

Transurethral Resection of Prostate (TURP)

A TURP (Transurethral Resection of the Prostate) or Prostatectomy is surgery to remove parts of the enlarged prostate to treat benign prostatic hyperplasia.

During TURP Procedure, an instrument is inserted up the urethra to remove the section of the prostate that is blocking urine flow. It is often used to treat prostate enlargement (benign prostate hyperplasia).

Transurethral resection of bladder tumour (TURBT)

This surgical procedure is used in both the diagnosis and treatment of bladder cancer. Transurethral resection of bladder tumor (TURBT) allows the surgeon to biopsy your tumor, or remove an entire small tumor from the inside of your bladder, while leaving the bladder intact. TURBT is essential to obtain a biopsy to confirm the cancer diagnosis and determine the stage and grade of the cancer.

Direct vision internal urethrotomy (DVIU)

This is a surgery done to repair a narrowed section of the urethra. This is referred to as a stricture. The urethra is the tube through which urine passes from the bladder to the outside of the body.

Vesicovaginal fistula repair (VVF REPAIR)

A VVF repair is a standard surgical procedure for patients with a fistula between the urinary bladder and vaginal vault. A fistula is a pathological opening or connection between two parts of your body. VVF is a type of female urogenital fistula that opens between the vagina and urinary bladder. This can lead to irregular urinal flow in the vaginal area and affect the patient’s psychological well-being.

NEPHRECOTOMY LAP/OPEN

A laparoscopic nephrectomy is an operation to remove one of the two kidneys that sit at the back of the abdominal cavity. The kidneys make urine by filtering waste products and excess fluid from the blood. Urine drains from the kidneys, through the ureters into the bladder where it is stored until the person is ready to go to the toilet. A laparoscopic nephrectomy involves removing an entire kidney through keyhole incisions in the flank, the side of the body between the ribs and the hip.

Nephrectomy (nephro = kidney, ectomy = removal) is the surgical removal of a kidney. The procedure is done to treat kidney cancer as well as other kidney diseases and injuries. Nephrectomy is also done to remove a healthy kidney from a donor (either living or deceased) for transplantation.

URETEROLITHOTOMY LAP/OPEN

Laparoscopic ureterolithotomy is a minimally invasive option to treat large ureteric stones not amenable to ureteroscopy. There are a very few small case series describing laparoscopic ureterolithotomy for lower ureteric stone.

Open Ureterolithotomy is the removal of a stone in the ureter (the tube connecting the kidney to the bladder), through an open surgical incision in the side or abdomen

This operation involves using an incision (surgical cut) in the abdomen or the side (loin), along the line of the ribs. A cut is made into the ureter and the stone is removed. An internal drainage tube (stent) will be inserted into the ureter at the time of the procedure to ensure the kidney can drain urine freely and aid healing

BOARI FLAP URETERIC REIMPLANT

The incidence of ureteral stricture is showing a rising trend due to increased use of laparoscopic and upper urinary tract endoscopic procedures. Boari flap is the preferred method of repairing long- segment ureteral defects of 8–12 cm. The procedure has undergone change from classical open (transperitoneal and retroperitoneal) method to laparoscopic surgery and recently robotic surgery. Laparoscopic approach is cosmetically appealing, less morbid and with shorter hospital stay. Laparoscopic ureteral reimplantation with Boari flap is safe, feasible and has excellent long term results. However, the procedure is technically challenging, requires extensive experience of intracorporeal suturing.

STAPLER CIRCUMCISION

Circumcision is the surgical removal of the foreskin of the penis. The procedure can be performed in many ways such as laser circumcision, stapler circumcision, open surgery, etc.

Stapler circumcision is performed using a stapler device known as an Anastomat. The procedure is painless, ensures minimum blood loss, and involves no stitches. Stapler Circumcision is definitely better and safer than traditional surgery and offers fast healing after the circumcision. The stapler removes the foreskin in one quick motion and places a silicone ring in its place to stem the bleeding and aid recovery.

TRUS GUIDED PROSTATE BIOPSY

Transrectal ultrasound (TRUS) guided biopsy of the prostate has been a standard diagnostic approach for prostate cancer over the past thirty years. Today, the role of TRUS biopsy is being challenged by transperineal (TP) prostate biopsy due to concerns over the safety and diagnostic yield of TRUS biopsy. TRUS biopsy still offers a convenient, reliable and accessible tool for diagnosing prostate cancer in the majority of patients. It continues to play a role in prostate cancer diagnosis, especially where hospital resource allocation is limited, including the public sector. TRUS biopsy has low rates of severe complications, although there remains room for improvement in current practice to improve the tolerability and reduce the incidence of post-biopsy infec tion.

Surgery Images

OPD Timings:

Tuesday and Thursday : 7:00 pm to 8:00 pm

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